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DEC-4-2009 10:22 FROM:MDRRDR CHEVRON 12099316636 70:9536268 P.1 • UNDERGROUND STORAGE TANK SYSTEM DESIGNATED OPERATOR FACILITY EMPLOYEE TRAINING � EI 1•L Forum by Undoes Member Agencies or where approved by your facaiJunsi ichon D \� Authoriy Cited: Title 23,Div.3,Ch. 16 Cafifarnia Code ofRegulatirus(CCR) DE A # C '4 2009 Facility Name: rnORPJOfzi C)ffMaCY0- FRS: S EASY &0 --., ._ 0jjW C zFacility Site Address: N)998 N.HtwQ4- FaorraA6E Rb City: STcxK� ySE � Ry10ES Section 2715 of Title 23, California Code of Regulations,requires that Designated Underground Storage Tank. Operators provide training to facility employees who have responsibilities a5miciated with the operation and/or maintenance of underground storage tank(UST)systems.This training must be provided M July 1,2005,and every 12 months thereafter. For facility employees hired after July 1,2005,the initial training must he provided within 30 days of the date of hire. At least one of the facility employees present during operating hours most have current training.This training must include,but is not li 'ed to,the following items as specified in 23 CCR Sections 2715(f)(1)and(2): on of the UST system in a manna consistent with the facility's Best Management Practices; ployce's role with regard to UST monitoring equipment as specified in the written UST Mon itoring Plan; ��' �� ployce's rote with regard to spills and overfills w specified n the written UST Response Plan; W Name(s)of c%ntatt person(s)for emergencies and monitoring equipment alarms; ❑ For facilities that ate not routinely staffed,facility employee responsibilities as specified in the traitring program approved by the local UST regulatory agency. 23 CCR§2715(f(3)requires that a list of employees who have been trained by the LAsignated Underground Storage Tank Opetator(s)be maintained onsite,or off-site at a readily-available location if approved M the local agencyand provided to the local agency upon request-Completion of this form will satisfy UST training record keeping requirements.The following employees have been trained as required by 23 CCR Sections 2715(f)(1)and(2): Facility Employee Namc Trainin Date Hire Dater Trainer Name= $'TLAL. MWAMMPQ k-A 4 09 i� JOSEPH $Fa D'�s r1 1 0'7 .SthSEPN ($�N4�-Y 0 pu'R f 1 07 �S6tiry 'Ci S✓frS►e. -f MC Nato Farystar•u 90 YiwG-ussn iwow IqR to A o 1✓�s+i-Tum NF4n iw— $ 1 0� so, nit, t►-rs— . uia F� Gt4A fj f v K Au p APWAL 'm"3W20'r- BfL PL IMaeHAMa1F {Y L3 d —' P*W%d0i- Ttbtastl,.ii RrISN�tp ANtdfo ttNA/J t2 z oB w TenaFws ly o —r' 1 I r f r_ (Continued on rewne) I lfhind die lily 1,2005. r hairier mart be a ctmrnt paaiVrdtd UST opmiur for the tacifiky a de time of tmWa 8- ... UN-aft-1Q www-aatdoestee 07113W � I